The wraparound process for youth with severe emotional behavioural disorders

Abstract

The number of youth with serious emotional disorders has increased tremendously; unfortunately, meeting the needs of such children has been a challenge. In an effort to deal with the challenging behaviour exhibited by children and youths, expensive out-of-home placements such as juvenile justice centres and clinical and psychiatric hospitalisation, have been used. Unfortunately, these approaches have not been effective in reducing the rate of challenging and violent behaviours. Therefore, researchers continue seeking evidence-based and cost-effective strategies to use when dealing with children and youths with severe emotional disorders. One of the approaches that have emerged out of this search is the systems of care model, which places emphasis on shifting placement of individuals with severe emotional disturbance from restrictive institutional settings to less restrictive settings. Central to the systems of care model is the wraparound process. The approach involves providing a set of coordinated individualised services and natural supports to the child and family in their natural environment. The purpose of this paper is to provide a literature synthesis on the wraparound process.

Exploring attrition, fidelity, and effectiveness of wraparound services among low-income youth of different racial backgrounds.

“…While attrition rates have received limited attention in prior wraparound studies, numerous studies have examined the effectiveness of wraparound services. For those who received wraparound services implemented with high levels of fidelity, study findings have consistently demonstrated clinically significant improvements in mental health functioning (Clarke et al, 1992;Chitiyo, 2014;Suter & Bruns, 2009). Wraparound service outcomes and satisfaction based on caregiver and facilitator ratings are highly associated with fidelity to the wraparound process (Bruns, Suter, Force, & Burchard, 2005).…”

“…Examples of specific treatments implemented within wraparound include intensive home-based therapy, psychiatric services, outpatient therapy, respite care, and parent support partner services. Goals for wraparound treatment are established, implemented, modified, and monitored until met, when services are no longer perceived by the team to be necessary for the youth (Chitiyo, 2014).…”

Practical strategies for improving postsecondary outcomes for students with EBD

“…To improve outcomes for adolescents with EBD and provide for them within the context of their families and communities, research suggest the use of Wraparound, a team-based service planning and coordination process (Chitiyo, 2014) Within social networks students establish similar ties and interests within their interpersonal relationships. Social networks are important, yet can be daunting to students as they traverse their school community.…”

PATH2 Services Court

“…Wraparound Services is a team-based service model aimed at developing individualized care plans for youth with severe behavioral and emotional disorders (Chitiyo, 2014). Community providers use this model to develop care plans tailored (wrapped around) to the participant's needs (Social Services Agency, 2016).…”

“…Wraparound Services also seeks to reduce the use of residential treatment and foster care group homes (SCPD, 2015). Moreover, Wraparound Services apply the "whatever it takes" approach to help youth remain in the community by using intensive case management to address identified family risk factors and needs at home and in the community (Chitiyo, 2014).…”